Form Center

PARK RESERVATION REQUEST

2. 

4. 2 HOUR MINIMUM FOR RESERVATIONS.

   2 HOUR MINIMUM FOR RESERVATIONS.

6. Select Park / Facility for Reservation*
   -- Select One --Event Lawn/PavilionLoftin ParkPavilionGazeboLoftin Park Picnic

8. First Name:*

9. Last Name:*

11. Name of Organization:

13. Phone:*

14. Birthdate:*

15. Email:*

17. Address1:*

19. Address2:

21. City:*

22. State:*

23. Zip:*

25. Description of Event:*

27. Date & Time Requested:*
    Date & Time Requested: Start Date

    Date & Time Requested: Start Time

    —

    Date & Time Requested: End Date

    Date & Time Requested: End Time

29. Will this event be open to the public?*

    If yes, a meeting will be scheduled to discuss details of event.

30. Approximate number of attendance: *

32. Are you a Non-Profit Organization?*

    1. Yes

    1. No

33. If yes, Upload 501(c)(3):

35. Event Insurance Purchased?*

    1. Yes

    1. No

    If yes, must provide proof of insurance with City of Bellaire named as additional insured.

36. Event Insurance:

38. Will tents be used?*

    1. Yes

    1. No

    If yes, must show proof of fire retardant requirements.

39. Number of Tents:

40. Size of Tents:

    Construction permit needed if larger than 40’x40’.

42. Will Inflatables or other structures be used?*

    1. Yes

    1. No

    If yes, must provide Copy of insurance with City of Bellaire named as additional insured.

43. Describe planned location of inflatable structures or other items:

45. Will you need electricity?*

    1. Yes

    1. No

46. If Yes, How many poles? ($10 fee per pole)

48. Will portable restrooms be provided? *

    1. Yes

    1. No

49. If Yes, how many?

51. Location of Portable Restrooms:

53. Will alcohol be served?*

    1. Yes

    1. No

    Under certain conditions, alcohol may be served during a rental in the Civic Center or the CenterPoint Energy Community Center. A permit must be obtained from the city manager.

54. If Yes, Upload Permit:

56. Will concessions be for sale?*

    1. Yes

    1. No (Free)

57. Describe location for concessions:

59. What type of food will be provided?

61. Purpose of concessions:

    (Who is selling, and where is the money going)

63. Will signs or banners be used? *

    1. Yes

    1. No

    If Yes, must provide copy of sign/banner permit from Community Development.

64. Has health permit been obtained?*

    1. Yes

    1. No

    If yes, must provide copy of health permit from Community Development

66. Name and phone number of entity providing security:

68. BELLAIRE TOWN SQUARE PARK/EVENT USAGE LIABILITY STATEMENT

    Applicant, for and on behalf of himself/herself/itself, together with his/her/its successors, heirs, executors, administrators, assigns, partners, members, directors, officers, shareholders, employees, agents, servants, volunteers and any other persons, organizations, firms or corporations, jointly and severally, does hereby agree to defend, indemnify and hold harmless the City of Bellaire, together with all of its former and present elected and appointed officials, legal representatives, employees, agents, servants, volunteers, successors and assigns and all affiliated persons and entities, (hereinafter collectively the City of Bellaire) of, from and against any and all liabilities of every kind, claims, causes of action, losses, judgments (including all expenses of litigation, cost and attorney’s fees), fines, demands, damages, loss of use or service or injuries to real and/or personal property and/or persons (including death), known and unknown, (collectively claims) asserted by any person or entity against the City of Bellaire whether at law or in equity, in contract or tort, under statutory or common law or pursuant to the Texas or United States constitutions(s), arising out of, touching upon or in any way relating to the issuance of the permit, the event and/or to the presence, malfunction, maintenance, addition or substitution of any property owned, leased, operated, or utilized by the City and/or any other person or entity in connection with the event even if the claim is the result of the actual alleged sole negligence of the City of Bellaire and any other person or entity, and/or the actual or alleged strict, statutory of constitutional liability of the City of Bellaire, as such, the foregoing indemnity is intended to indemnify the City of Bellaire against the consequence of its sole negligence or fault and against the consequence of the negligence or fault of the City of Bellaire occurring jointly or concurrently with negligence or fault of any person or entity and against the consequence of the strict, statutory, or constitutional liability of the City.

    Applicant, for and on behalf of himself/herself/itself, together with his/her/its successors, heirs, executors, administrators, assigns, partners, members, directors, officers, shareholders, employees, agents, servants, volunteers and any other persons, organizations, firms or corporations, jointly and severally, does hereby agree to defend, indemnify and hold harmless the City of Bellaire, together with all of its former and present elected and appointed officials, legal representatives, employees, agents, servants, volunteers, successors and assigns and all affiliated persons and entities, (hereinafter collectively the City of Bellaire) of, from and against any and all liabilities of every kind, claims, causes of action, losses, judgments (including all expenses of litigation, cost and attorney’s fees), fines, demands, damages, loss of use or service or injuries to real and/or personal property and/or persons (including death), known and unknown, (collectively claims) asserted by any person or entity against the City of Bellaire whether at law or in equity, in contract or tort, under statutory or common law or pursuant to the Texas or United States constitutions(s), arising out of, touching upon or in any way relating to the issuance of the permit, the event and/or to the presence, malfunction, maintenance, addition or substitution of any property owned, leased, operated, or utilized by the City and/or any other person or entity in connection with the event even if the claim is the result of the actual alleged sole negligence of the City of Bellaire and any other person or entity, and/or the actual or alleged strict, statutory of constitutional liability of the City of Bellaire, as such, the foregoing indemnity is intended to indemnify the City of Bellaire against the consequence of its sole negligence or fault and against the consequence of the negligence or fault of the City of Bellaire occurring jointly or concurrently with negligence or fault of any person or entity and against the consequence of the strict, statutory, or constitutional liability of the City.

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70. 1. Receive an email copy of this form.
71. Email address

    This field is not part of the form submission.

72. Submit Submit and Print

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